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Community Advisory Board (CAB) Member Application
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Name
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Last
Address
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Phone
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Email
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Preferred Contact Method
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Phone
Text
Email
1. At this time, Family League of Baltimore is prioritizing recruitment of community members from Baltimore City Council Districts 1, 3, 5, 6, and 10. Select the City Council District of your Residence.
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1
2
3
4
5
6
7
8
9
10
11
12
13
14
2. Select the Neighborhood of Residence
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Allendale/Irvington/South Hilton
Beechfield/Ten Hills/West Hills
Belair-Edison
Brooklyn/Curtis Bay/Hawkins Point
Canton
Cedonia/Frankford
Cherry Hill
Chinquapin Park/Belvedere
Claremont/Armistead
Clifton-Berea
Cross-Country/Cheswolde
Dickeyville/Franklintown
Dorchester/Ashburton
Downtown/Seton Hill
Edmondson Village
Fells Point
Forest Park/Walbrook
Glen-Fallstaff
Greater Charles Village/Barclay
Greater Govans
Greater Mondawmin
Greater Roland Park/Poplar Hill
Greater Rosemont
Greenmount East
Hamilton
Harbor East/Little Italy
Harford/Echodale
Highlandtown
Howard Park/West Arlington
Inner Harbor/Federal Hill
Jonestown/Oldtown
Lauraville
Loch Raven
Madison/East End
Medfield/Hampden/Woodberry/Remington
Midtown
Midway/Coldstream
Morrell Park/Violetville
Mount Washington/Coldspring
North Baltimore/Guilford/Homeland
Northwood
3. In order to accomplish the CAB’s objectives, full participation of each member is necessary. Board members serve a term of at least two years. The CAB meets monthly on dates that are predetermined by members. Interim meetings are occasionally scheduled when necessary. Can you make this time commitment? (copy)
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Yes
No
4. List neighborhood, community, civic, professional, business, religious, social, athletic, or other organizations of which you are or have been a member. List the role you held with each affiliation.
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5. Please indicate in which, if any, of the following areas you have experience:
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Grantmaking
Child and Maternal Health
Human Services
Early Childhood Education
K-12 Education
Food Access
Neighborhood Safety
Economic Stability
6. Language(s) spoken
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7. Why do you want to be a member of the CAB? What would make you an effective member of the Community Advisory Board?
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8. In your opinion, what are the two most pressing issues facing Baltimore today?
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ACKNOWLEDGEMENT: All information provided, to my knowledge, is correct and true. I grant permission for my responses and references to be verified by applicable member(s) of the selection committee. I understand that completion of this application does not ensure a candidate’s acceptance to the Community Advisory Board (CAB). If selected, I will devote the time required as outlined in section one of this application. If, at any time or for any reason, I am unable to devote the time required as outlined in section one of this application, I will provide notice of my reasoning and/or resignation from the CAB within a reasonable amount of time.
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Yes
No
Signature
Clear Signature
Submit